Assistant Manager Clinical Operations - Archimedes

Navitus Health Solutions•Earth City, MO
•Remote

About The Position

Archimedes is seeking a full-time nurse to support employer, health system, and health plan clients in managing the specialty drug benefit. The company provides specialty drug management technology and services to help health plans and employer groups manage specialty drug spending. This role is suited to a clinical professional with drug management experience and an interest in managed care, who can contribute as the company grows. The position can be fully remote; the description also mentions the ability and willingness to work in the office up to five days a week, with a standard schedule of three days. The stated schedule is Monday through Friday, 8 a.m. to 5 p.m.

Requirements

  • Five or more years of work experience in nursing, managed care supporting case management, medical management, and/or utilization management.
  • Experience in medical management or billing at a health plan or third-party administrator (TPA).
  • Excellent interpersonal skills and the ability to communicate articulately by phone.
  • Ability to work efficiently while attending to detail and managing multiple priorities with minimal supervision.
  • Excellent critical-thinking skills and ability to identify issues quickly.
  • Quantitative and analytical abilities combined with an engaging, personable approach.
  • Independent, proactive, forward-thinking, creative, results-oriented approach and strong verbal and written communication skills.
  • Ability and willingness to work in the office up to five days a week; the posting notes a standard three days.
  • Ability to interact cooperatively and respectfully with other employees.

Nice To Haves

  • Registered Nurse (RN) qualification preferred.
  • Working knowledge of Microsoft Excel.
  • SQL experience.

Responsibilities

  • Provide telephonic support to identified patients, caregivers, healthcare professionals, and staff at primary care or specialist facilities related to specialty drug management.
  • Lead high-touch case management to produce quantifiable, quality results for Archimedes’ programs.
  • Maintain excellent quality and superior customer service while adhering to program goals.
  • Develop and strengthen relationships with members, prescribers, pharmacies, and other vendors.
  • Facilitate the development and provision of services across multiple healthcare sectors.
  • Participate in, adhere to, and support compliance program objectives.
  • Interact cooperatively and respectfully with other employees.
  • Perform other duties as assigned.

Benefits

  • Health, dental, and vision insurance.
  • 20 days of paid time off.
  • Four weeks of paid parental leave.
  • Nine paid holidays.
  • 401(k) company match of up to 5%, with no vesting requirement.
  • Adoption Assistance Program.
  • Flexible Spending Account.
  • Educational Assistance Plan.
  • Professional Membership assistance.
  • Referral Bonus Program offering up to $750.
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